| NPI | 1902258841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 43280) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 70101) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2024-06-12 |