| NPI | 1629524715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 65661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65661) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-08-20 |