| NPI | 1407298334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-151773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062899) |
| 207R00000X Internal Medicine (Licence: MN 108919) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2021-08-19 |