| NPI | 1407341423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021024762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021024762) |
| 207R00000X Internal Medicine (Licence: MO 2018020041) | |
| 208M00000X Hospitalist (Licence: WI 80145) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-10-21 |