| NPI | 1386871291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 01458) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 267489) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-12-31 |