| NPI | 1356511901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036130092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.204360) |
| 207R00000X Internal Medicine (Licence: MI 4301104147) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2018-05-30 |