| NPI | 1043606999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-47097) |
| 208M00000X Hospitalist (Licence: IA MD-47097) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-06-14 |