| 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 125.068759) |
| 207R00000X Internal Medicine (Licence: IL 036.148755) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-10-01 |