| NPI | 1871703496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-5981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-5981) |
| 207R00000X Internal Medicine (Licence: OK 5141) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-04-11 |