| NPI | 1144470584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24139) |
| 207R00000X Internal Medicine (Licence: IL 036136534) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-01-23 |