| NPI | 1225340474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 68817) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301108016) |
| 208M00000X Hospitalist (Licence: NY 270855) | |
| 207R00000X Internal Medicine (Licence: MI 4301108016) | |
| 207R00000X Internal Medicine (Licence: NY 270855) | |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2021-08-09 |