| NPI | 1326602251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73843) |
| 207R00000X Internal Medicine (Licence: MA 1014254) | |
| 208M00000X Hospitalist (Licence: MA 1014254) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-09-18 |