| NPI | 1679738678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 41197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009037641) |
| 207R00000X Internal Medicine (Licence: OK 41197) | |
| 208M00000X Hospitalist (Licence: MO 2009037641) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2023-11-21 |