| NPI | 1033572474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 69253) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.148224) |
| 208M00000X Hospitalist (Licence: IL 125.068304) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2021-09-21 |