| NPI | 1457781718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 008566) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036141511) |
| 207R00000X Internal Medicine (Licence: IL 036141511) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2021-09-15 |