| NPI | 1518955210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 6853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 101064) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2021-11-11 |