| NPI | 1902337496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DC MD600004809) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD d95734) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-10-30 |