| NPI | 1689883365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-37888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 0106696A) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01066961A) | |
| 208M00000X Hospitalist (Licence: IN 01066961A) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-07-21 |