| NPI | 1346357662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 43030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 43030) |
| 207R00000X Internal Medicine (Licence: IL 36090245) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 43030) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-08-30 |