| NPI | 1023229457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 0441021) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2010022090) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-01-23 |