| NPI | 1740596170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 28962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056091) |
| 207R00000X Internal Medicine (Licence: OK 28962) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2017-08-07 |