| NPI | 1982164364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 73599) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD61200438) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-07-24 |