| NPI | 1801876743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 53499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53499) |
| 208M00000X Hospitalist (Licence: ND 9350) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-03-16 |