NPI | 1447286851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 40915) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 40915) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2015-10-30 |