NPI | 1174578181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 44191) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44191) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2012-10-17 |