| NPI | 1487946778 |
|---|---|
| Professional Name | DEREK KRUSE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 29960) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: WI 57678) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2017-05-08 |