| NPI | 1487699476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 35539) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-115313) |
| 208M00000X Hospitalist (Licence: NY 315489) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2026-04-22 |