| NPI | 1093973786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11238) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 05-37914) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-03-18 |