| NPI | 1275062895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101278577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069888) |
| 208M00000X Hospitalist (Licence: IL 036151538) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-08-21 |