| NPI | 1639656499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE CP1871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071674) |
| 208M00000X Hospitalist (Licence: IA MD-56248) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2026-01-20 |