| NPI | 1023711199 |
|---|---|
| Other Name | JAKE BAUSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33332) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-07-31 |