| NPI | 1144513730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-43899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016008735) |
| 207R00000X Internal Medicine (Licence: KS 04-43899) | |
| 208M00000X Hospitalist (Licence: MO 2016008735) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2023-04-27 |