| NPI | 1710618764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301514885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301514885) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-09-17 |