| NPI | 1114993847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 14746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 37783) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-05-31 |