| NPI | 1306070636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.134164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.097852) |
| 207R00000X Internal Medicine (Licence: IL 036134164) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2023-09-01 |