| NPI | 1497174551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301113476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065517) |
| 208M00000X Hospitalist (Licence: MI 4301113476) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-07-21 |