| NPI | 1558645895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 75856) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2026-05-20 |