| NPI | 1952665192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 30969) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-51946) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2025-12-10 |