| NPI | 1417466657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-43434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071004) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-11-02 |