| NPI | 1811551146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 7769) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 7769) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2026-05-19 |