| NPI | 1093125502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.142171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP020) |
| 208M00000X Hospitalist (Licence: IL 036-142171) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2023-03-07 |