| NPI | 1841475845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013005305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245542) |
| 207R00000X Internal Medicine (Licence: MO 2013005305) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-09-12 |