| NPI | 1851616122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63890-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 207R00000X) |
| 207R00000X Internal Medicine (Licence: WI 63890-20) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-01-03 |