| NPI | 1265677199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 83816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036121936) |
| 208M00000X Hospitalist (Licence: IL 036121936) | |
| 208M00000X Hospitalist (Licence: NC 2019-01928) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2024-10-31 |