| NPI | 1497896385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 24440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24440) |
| 208000000X Pediatrics (Licence: OK 24440) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-12-23 |