| NPI | 1497250278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021030003) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0445222) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-08-26 |