| NPI | 1558580852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2007018749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124202) |
| 208M00000X Hospitalist (Licence: IL 036124202) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-05-27 |