| NPI | 1639300536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2016043564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-35968) |
| 208M00000X Hospitalist (Licence: MO 2016043564) | |
| 208M00000X Hospitalist (Licence: KS 04-35968) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2021-12-03 |