| NPI | 1063707792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101252664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067913) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-03-20 |