| NPI | 1730172883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 21527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R2E61) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-02-15 |