NPI | 1306224514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 64249) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 64249) |
208M00000X Hospitalist (Licence: MA 291675) | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2024-09-17 |