| NPI | 1043661499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 292638) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 292638) |
| 208M00000X Hospitalist (Licence: OK 34786) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-09-12 |