| NPI | 1356414890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H80041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-111820) |
| 207R00000X Internal Medicine (Licence: IN 02003411A) | |
| 208M00000X Hospitalist (Licence: IL 036111820) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-01-09 |