| NPI | 1497947345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD179754) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 52880) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2023-08-03 |