| NPI | 1619387735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 12170652-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 309166) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2026-02-13 |