| NPI | 1013939222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 24730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24730) |
| 207P00000X Emergency Medicine (Licence: OK 24730) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-16 |