| NPI | 1265799290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 207R00000X) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2023-12-11 |