| NPI | 1770933731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 26855) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY C3277) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-02-18 |