| NPI | 1538480165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036131886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-057979) |
| 207R00000X Internal Medicine (Licence: IL 036131886) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-03-22 |