| NPI | 1144537721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056365) |
| 207R00000X Internal Medicine (Licence: WI 63131) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2017-05-05 |