| NPI | 1265728851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-37305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0437305) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-01-16 |