| NPI | 1588282875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 35555) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-54343) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2025-03-06 |