| NPI | 1376925776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-44457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.066108) |
| 208M00000X Hospitalist (Licence: IA MD-44457) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-02-13 |