| NPI | 1275987984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036149719) |
| 207R00000X Internal Medicine (Licence: WA MD70008565) | |
| 208M00000X Hospitalist (Licence: WA MD70008565) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-07-30 |