| NPI | 1730773367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-55689) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 37145) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-09-23 |