| NPI | 1437525748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101279502) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 63998) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-04-02 |