| NPI | 1376273573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.080591) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036175096) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-05-29 |