| NPI | 1164871752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.148755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.148755) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD500003316) | |
| 207R00000X Internal Medicine (Licence: IL 125.068759) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0101477) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V4577) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-04-10 |