| NPI | 1134190721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01060964A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036112177) |
| 207R00000X Internal Medicine (Licence: IL 036112177) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2022-09-22 |