| NPI | 1326488594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036148621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49374) |
| 207R00000X Internal Medicine (Licence: MO 2013014388) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036.148621) | |
| 208M00000X Hospitalist (Licence: MN 41669) | |
| 208M00000X Hospitalist (Licence: KY 49374) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-08-23 |