| NPI | 1861796153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 296678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-45050) |
| 208M00000X Hospitalist (Licence: KS 0445050) | |
| 207R00000X Internal Medicine (Licence: NY 296678) | |
| Enumeration Date | 2011-01-01 |
| Last Update Date | 2024-09-18 |