| NPI | 1053725440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 59866) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 59866) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-03-31 |