| NPI | 1649449653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H0068814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0068814) |
| 207R00000X Internal Medicine (Licence: HI DOS1247) | |
| 208M00000X Hospitalist (Licence: DC D0210012543) | |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2026-04-27 |