| NPI | 1427553460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D91027) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 13548) |
| 207R00000X Internal Medicine (Licence: WI 13548) | |
| 208M00000X Hospitalist (Licence: IL 036174770) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-01-09 |