| NPI | 1275730335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 56774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051376) |
| 207R00000X Internal Medicine (Licence: WI 56774) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-12-17 |