| NPI | 1184670812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 10490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45482) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-03-25 |