| NPI | 1558689075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.171264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.058977) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2024-09-20 |