| NPI | 1558737981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD484209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA FA7709453) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-03-31 |