| NPI | 1104171347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.150246) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-150246) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2021-04-22 |