| NPI | 1053378422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 41656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 41656) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-05-09 |