| NPI | 1043624760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-065615) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036143415) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-04-09 |