| NPI | 1346655172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 61578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065856) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-07-21 |