| NPI | 1669677191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015012728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 056771) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-12-21 |