| NPI | 1861669848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 59166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052575) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2015-10-20 |