| NPI | 1548754542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 76862-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072089) |
| 208M00000X Hospitalist (Licence: IL 036156967) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-05-23 |