| NPI | 1295805174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-115059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51960) |
| 208M00000X Hospitalist (Licence: IL 036-115059) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-02-20 |