| NPI | 1992918023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-052082) |
| 208M00000X Hospitalist (Licence: ND 11798) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-07-30 |