| NPI | 1538697677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 32529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09285) |
| 208M00000X Hospitalist (Licence: NE 32529) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-02-16 |