| NPI | 1144418401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036117912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54415) |
| 207R00000X Internal Medicine (Licence: IN 01070252A) | |
| 208M00000X Hospitalist (Licence: IL 036117912) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-12-06 |