| NPI | 1326076548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-28700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 41025) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-05-09 |