| NPI | 1982661658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2004034545) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-26544) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2026-04-13 |