| NPI | 1629021415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME80968) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.28985) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-06-09 |