| NPI | 1942863436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2025-01329) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD477958) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-08-22 |