| NPI | 1851974075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101028267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101028267) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-07-25 |