| NPI | 1396156881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 63780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62391) |
| 208M00000X Hospitalist (Licence: MN 62391) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-11-30 |