| NPI | 1376721316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 61450) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 005138) |
| 207R00000X Internal Medicine (Licence: NV SL0448) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2017-10-10 |