| NPI | 1063489375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 28918) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 28918) |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2025-05-07 |