| NPI | 1285041640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 61932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 19962) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-10-06 |