| NPI | 1316984859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 036-092411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.092411) |
| 208M00000X Hospitalist (Licence: IL 036.092411) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-05-10 |