| NPI | 1043593049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036131341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.058675) |
| 208M00000X Hospitalist (Licence: IL 036131341) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2022-01-12 |