| NPI | 1427024538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 48693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-086740) |
| 208M00000X Hospitalist (Licence: MN 48693) | |
| 208M00000X Hospitalist (Licence: WI 62597-20) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-04-02 |