| NPI | 1477087369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01086603A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.150404) |
| 208D00000X General Practice (Licence: IL 036.150404) | |
| 208M00000X Hospitalist (Licence: IL 036.150404) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-06-21 |