| NPI | 1356396634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2022008386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301060253) |
| 207R00000X Internal Medicine (Licence: MO 2022008386) | |
| 208M00000X Hospitalist (Licence: WI 35145) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-11-19 |