| NPI | 1558593582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036141291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38957) |
| 208M00000X Hospitalist (Licence: IA 38957) | |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2023-11-30 |