| NPI | 1184253700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 74477) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 75749) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-09-22 |