NPI | 1326330622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 58321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 107610) |
207R00000X Internal Medicine (Licence: MN 58321) | |
Enumeration Date | 2011-05-05 |
Last Update Date | 2023-07-28 |