NPI | 1134864119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 22972) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 22972) |
207R00000X Internal Medicine (Licence: MI 4351050202) | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2025-09-26 |