| NPI | 1750841946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME166737) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67740) |
| 208M00000X Hospitalist (Licence: MN 67740) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-04-26 |