| NPI | 1992066864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-38332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407852) |
| 208M00000X Hospitalist (Licence: KS 04-38332) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-08-17 |