| NPI | 1477071074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077675) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036168610) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2024-06-03 |