| NPI | 1891961454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 25433) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 04-39682) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-10-11 |