| NPI | 1134166770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2006015224) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0431139) |
| 207R00000X Internal Medicine (Licence: MO 2006015224) | |
| 208M00000X Hospitalist (Licence: KS 04-31139) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-10-30 |