| NPI | 1215378484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 009699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-062893) |
| 207R00000X Internal Medicine (Licence: MA 266230) | |
| 208M00000X Hospitalist (Licence: MA 266230) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-06-16 |