| 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 |