| NPI | 1558679142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 44944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053957) |
| 207R00000X Internal Medicine (Licence: AZ 44944) | |
| 208M00000X Hospitalist (Licence: AZ 44944) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2025-05-02 |