NPI | 1598017832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 62744) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62744) |
207R00000X Internal Medicine (Licence: MA 251755) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2020-10-07 |