| NPI | 1598076416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.133067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.133067) |
| 207R00000X Internal Medicine (Licence: NY 60-272730) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-02-01 |