| NPI | 1346564317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036132298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 132298) |
| 207R00000X Internal Medicine (Licence: NY 264098) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2018-01-11 |