| NPI | 1295907301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C171400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52732) |
| 207R00000X Internal Medicine (Licence: IL 125053284) | |
| 207R00000X Internal Medicine (Licence: IL 036124008) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2021-12-27 |