| NPI | 1699977926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089649) |
| 208M00000X Hospitalist (Licence: MN 53669) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089649) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-07-26 |