| NPI | 1831416569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 62233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0075366) |
| 208M00000X Hospitalist (Licence: CT 54459) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-03-17 |