| NPI | 1841492394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2007028030) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-33300) |
| 207R00000X Internal Medicine (Licence: MO 2007028030) | |
| 207R00000X Internal Medicine (Licence: KS 04-33300) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-02-25 |