| NPI | 1497947964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 46322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46322) |
| 208M00000X Hospitalist (Licence: IL 036125356) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-03-15 |