| NPI | 1316391873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301119019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64416) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-08-12 |