| NPI | 1558534792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2009010532) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0534403) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2026-02-26 |