| NPI | 1275700445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036121798) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX p5393) |
| 207R00000X Internal Medicine (Licence: IN 01067787A) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-04-04 |