| NPI | 1467686386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-01322) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017027032) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2025-08-06 |