| NPI | 1053793174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.147563) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-147563) |
| 207R00000X Internal Medicine (Licence: MI 4301108106) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-10-25 |