| NPI | 1265879738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036156550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42937) |
| 207R00000X Internal Medicine (Licence: IN 01082365A) | |
| 208M00000X Hospitalist (Licence: IA MD-42937) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-03-24 |