| NPI | 1235753047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036163348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125076987) |
| 208M00000X Hospitalist (Licence: IL 036163348) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-05-11 |