| NPI | 1215596523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036161038) |
| 208M00000X Hospitalist (Licence: IL 036161038) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-06-21 |