| NPI | 1194925305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007015047) |
| 208M00000X Hospitalist (Licence: MO 2013045128) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-11 |