| NPI | 1306375779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-43797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09194) |
| 207R00000X Internal Medicine (Licence: KS 04-43797) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-09-28 |