NPI | 1245484146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 55934) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 100935) |
207R00000X Internal Medicine (Licence: MN 55934) | |
Enumeration Date | 2008-11-05 |
Last Update Date | 2024-10-29 |