| NPI | 1285832113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 05-34376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406849) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-08-19 |