| NPI | 1881189520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101027282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023798) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-07-07 |