| NPI | 1386896660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 51838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 52221-020) |
| 207R00000X Internal Medicine (Licence: VA 0101244195) | |
| 207R00000X Internal Medicine (Licence: ND PT 11038) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-01-23 |