| NPI | 1972581338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 42584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 66626) |
| 208M00000X Hospitalist (Licence: AZ 52118) | |
| 208M00000X Hospitalist (Licence: FL ME130164) | |
| 207R00000X Internal Medicine (Licence: MN 42584) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2021-04-16 |