| NPI | 1730158056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017038569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-22405) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-12-04 |