| NPI | 1366670994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD210372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055801) |
| 208M00000X Hospitalist (Licence: IL 036130674) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-09-14 |