| NPI | 1467983866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73552) |
| 207R00000X Internal Medicine (Licence: IL 125.071053) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-11-22 |