| NPI | 1598962722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61756) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08276200) | |
| 208M00000X Hospitalist (Licence: WI 60778) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-11-17 |