| NPI | 1053689901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101252721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-36192) |
| 208M00000X Hospitalist (Licence: KS 04-36192) | |
| 208M00000X Hospitalist (Licence: CT 51535) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2023-08-26 |