| NPI | 1295301042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125077502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME169312) |
| 208M00000X Hospitalist (Licence: FL ME169312) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-11-12 |