| NPI | 1003247446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 35430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 35430) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2024-10-04 |