| NPI | 1568993657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.150771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036150771) |
| 207R00000X Internal Medicine (Licence: IL 125.070904) | |
| 208M00000X Hospitalist (Licence: IL 036150771) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-04-12 |