| NPI | 1326372053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013028504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132439) |
| 208M00000X Hospitalist (Licence: IL 036132439) | |
| 208M00000X Hospitalist (Licence: MO 2013028504) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2019-11-05 |