| NPI | 1831450170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 1799-320) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 59718) |
| 207R00000X Internal Medicine (Licence: TX BP10043092) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2026-04-09 |