| NPI | 1598170367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-44223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260338) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-10-11 |