| NPI | 1407881964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.059341) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 55989-20) |
| 207R00000X Internal Medicine (Licence: WI 55989-20) | |
| 207R00000X Internal Medicine (Licence: IL 036-059341) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-04-05 |