| NPI | 1568614816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 92658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55936) |
| 208M00000X Hospitalist (Licence: MN 55936) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-12-31 |