| NPI | 1083939516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL N/A) |
| 207R00000X Internal Medicine (Licence: IL 036.132534) | |
| 208M00000X Hospitalist (Licence: IL 036132534) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2023-07-06 |