| NPI | 1437445970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 55381) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 55381) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2018-06-20 |