| NPI | 1467700930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 18443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59018) |
| 207R00000X Internal Medicine (Licence: MI 4301101566) | |
| 208M00000X Hospitalist (Licence: MN 59018) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-10-04 |