| NPI | 1417995317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 12645) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 12645) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-02-06 |