| NPI | 1922485531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 15045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 66049) |
| 207R00000X Internal Medicine (Licence: ND 15045) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2022-08-12 |