| NPI | 1336102284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 18415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 18415) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-08-02 |