| NPI | 1245676683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63245) |
| 208M00000X Hospitalist (Licence: MN 60559) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-11-17 |