| NPI | 1861807216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 60727) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 60727) |
| 208M00000X Hospitalist (Licence: MN 60727) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-06-18 |