| NPI | 1407042773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 54343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052660) |
| 207R00000X Internal Medicine (Licence: WI 54343) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2023-03-29 |