| NPI | 1962757286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301508602) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 2345080233) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-07-07 |