| NPI | 1326200767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-35191) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2018008995) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-01-14 |