| NPI | 1396859666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK MEDS7584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 15758) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-04-26 |