| NPI | 1447226808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 39141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R5H54) |
| 207R00000X Internal Medicine (Licence: IL 036074653) | |
| 208M00000X Hospitalist (Licence: MO R5H54) | |
| 208M00000X Hospitalist (Licence: IL 036074653) | |
| 208M00000X Hospitalist (Licence: GA 39141) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2015-01-14 |