| NPI | 1235243379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9939) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036131599) |
| 207R00000X Internal Medicine (Licence: IL 036131599) | |
| 207R00000X Internal Medicine (Licence: CA A94292) | |
| 207R00000X Internal Medicine (Licence: IN 01061444A) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-03-04 |