| NPI | 1578520235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 24138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016016015) |
| 208M00000X Hospitalist (Licence: MO 2016016015) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-09-20 |