| NPI | 1437189198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 28257) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01065802A) |
| 207R00000X Internal Medicine (Licence: MO 2005019442) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-12-31 |