| NPI | 1104143296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301097353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097353) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-09-04 |