| NPI | 1487885745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 53709) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 53709) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2023-08-17 |