| NPI | 1144509563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2014015811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014015811) |
| 208M00000X Hospitalist (Licence: IL 036151261) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2023-02-01 |