| NPI | 1285603647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 0537409) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 3574) |
| 207Q00000X Family Medicine (Licence: KS 05-37409) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-06-26 |