| NPI | 1184863938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E7137) |
| 208M00000X Hospitalist (Licence: AR E7137) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2019-09-23 |