| NPI | 1356350664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M-11375) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 47254) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 47254) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-08-23 |