| NPI | 1558010561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 82152-21) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-18973) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-09-03 |