| NPI | 1255617700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059664) |
| 208M00000X Hospitalist (Licence: IA MD-41450) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2024-04-18 |