| NPI | 1518138833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 105227) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 55504) |
| 208M00000X Hospitalist (Licence: MD D73674) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2024-01-29 |