| NPI | 1154312221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 6052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 6052) |
| 207R00000X Internal Medicine (Licence: MI 5101013419) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-10-24 |