NPI | 1811194749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 31726) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406745) |
208M00000X Hospitalist (Licence: KS 0434399) | |
207R00000X Internal Medicine (Licence: OK 31726) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2015-09-03 |