| NPI | 1447657820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 59281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 59281) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2025-08-20 |