| NPI | 1558517433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011018394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56044) |
| 208M00000X Hospitalist (Licence: MO 2011018394) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2026-07-28 |