| NPI | 1487764676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301101997) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-055852) |
| 207R00000X Internal Medicine (Licence: IN 01059499A) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-11-20 |