| NPI | 1174781975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2008020594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008020594) |
| 207R00000X Internal Medicine (Licence: KS 04-33279) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2025-01-10 |