| NPI | 1194163279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101020679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020679) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-05-06 |