| NPI | 1932698800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 77309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101024256) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-07-02 |