| NPI | 1396090551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 51544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062174) |
| 208M00000X Hospitalist (Licence: SC 51544) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-02-01 |