| NPI | 1417112673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 56939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 106945) |
| 208M00000X Hospitalist (Licence: OR 167264) | |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2014-11-07 |