| NPI | 1821239161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 53598) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AK MD7497) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2018-03-17 |