| NPI | 1861913907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 67637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071161) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-04-19 |