| NPI | 1356611941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 29102) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-43280) |
| 207R00000X Internal Medicine (Licence: IL 125057465) | |
| 207R00000X Internal Medicine (Licence: ND 12692) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2017-04-11 |