| NPI | 1386042885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61868) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MN 61868) |
| 2086H0002X Surgery Hospice and Palliative Medicine (Licence: MN 61868) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2022-07-21 |