| NPI | 1083818561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43972) |
| 207R00000X Internal Medicine (Licence: TN 45612) | |
| 208M00000X Hospitalist (Licence: TN 45612) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-07-21 |