| NPI | 1235680653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301505333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301505333) |
| 204F00000X Transplant Surgery (Licence: NE 7859) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2026-01-09 |