| NPI | 1225443278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 21732) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 61990) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2024-11-25 |