| NPI | 1609852698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 47883) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 47883) |
| 208M00000X Hospitalist (Licence: MN 47883) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-13 |