| NPI | 1285603720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 22449) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OK 22449) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-07-12 |