| NPI | 1447741756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036156429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072126) |
| 208M00000X Hospitalist (Licence: IL 036156429) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-06-10 |