| NPI | 1053408500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 49263) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 49263) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 102767) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-10-09 |