| NPI | 1184664666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 215877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60927610) |
| 208M00000X Hospitalist (Licence: IL 036147120) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-07-19 |