| NPI | 1801027743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012011932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407278) |
| 208M00000X Hospitalist (Licence: MO 2012011932) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2017-03-31 |