| NPI | 1104072362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-131610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.131610) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-04-30 |