| NPI | 1558740795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 29542) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-56071) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2026-01-22 |