| NPI | 1336333848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-02426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52655) |
| 208M00000X Hospitalist (Licence: MN 52655) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-09-05 |