| NPI | 1346674256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046836) |
| 207R00000X Internal Medicine (Licence: OH 35-128449) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2023-10-10 |