| NPI | 1114412087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.156498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018018663) |
| 208M00000X Hospitalist (Licence: IL 036156498) | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2021-07-09 |