| NPI | 1710951827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101015468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201733) |
| 207R00000X Internal Medicine (Licence: MI 5101015468) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-04-23 |