| NPI | 1083661664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-114646) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036114646) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-05-20 |