| NPI | 1417334087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036150695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036150695) |
| 207R00000X Internal Medicine (Licence: WI 69533) | |
| 208M00000X Hospitalist (Licence: WI 69533) | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2019-09-20 |