| NPI | 1619069176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2007029602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-28320) |
| 208M00000X Hospitalist (Licence: MO 2007029602) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-12-06 |