| NPI | 1275778649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014019024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28895) |
| 208M00000X Hospitalist (Licence: MO 2014019024) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2024-01-22 |