| NPI | 1548766223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 13145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8215) |
| 208M00000X Hospitalist (Licence: MN 73173) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-04-21 |