| NPI | 1417180704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036133820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009018141) |
| 208M00000X Hospitalist (Licence: IL 036133820) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2014-03-24 |