NPI | 1992202071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 68938) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 68938) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2024-04-22 |