| NPI | 1538251020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013002440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31418) |
| 208M00000X Hospitalist (Licence: KS 04-31418) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-05-01 |