| NPI | 1215348149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.143529) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036143529) |
| 207R00000X Internal Medicine (Licence: IL 125.064329) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-12-08 |