| NPI | 1588013932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301119323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109797) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-07-09 |