| NPI | 1033433594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.131743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010017173) |
| 207R00000X Internal Medicine (Licence: MO 2010017173) | |
| 208M00000X Hospitalist (Licence: MO 2010017173) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2021-07-06 |