| NPI | 1710130687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017017628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-35083) |
| 208M00000X Hospitalist (Licence: MO 2017017628) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2020-12-17 |