| NPI | 1164951307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A169539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169539) |
| 207R00000X Internal Medicine (Licence: IL 125.071084) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2024-10-09 |