| NPI | 1043448095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 63822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018312) |
| 207R00000X Internal Medicine (Licence: MT 20801) | |
| 208M00000X Hospitalist (Licence: ID O-1763) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-03-20 |