| NPI | 1417440710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036156273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125072947) |
| 208M00000X Hospitalist (Licence: IL 036156273) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-07-07 |