| NPI | 1205463981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036164929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.164929) |
| 208M00000X Hospitalist (Licence: IL 036164929) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-04-30 |