| NPI | 1548241912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01060829a) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114755) |
| 208M00000X Hospitalist (Licence: IL 036114755) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-07-08 |