| NPI | 1447888128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 79489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 95277) |
| 208M00000X Hospitalist (Licence: GA 95277) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-06-03 |