| NPI | 1992147755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-40926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063189) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-11-05 |