| NPI | 1437158052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-147907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9401258) |
| 207R00000X Internal Medicine (Licence: IL 036-147907) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2021-03-25 |