| NPI | 1437514890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72333) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS14061) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2022-08-15 |