| NPI | 1306800651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101013449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101013449) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-12-20 |