| NPI | 1700096914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67597) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 9687) |
| 208M00000X Hospitalist (Licence: MN 67597) | |
| 208M00000X Hospitalist (Licence: MD D71462) | |
| 207R00000X Internal Medicine (Licence: GA 69107) | |
| 207R00000X Internal Medicine (Licence: PA MD 437548) | |
| 207R00000X Internal Medicine (Licence: MD D71462) | |
| 207R00000X Internal Medicine (Licence: VA 0101245905) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-07-21 |