| NPI | 1225121585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 22302) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 22302) |
| 208M00000X Hospitalist (Licence: IL 036112322) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2023-05-09 |