| NPI | 1992050991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 23920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23920) |
| 207R00000X Internal Medicine (Licence: KS 9407931) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2019-05-29 |