| NPI | 1598285959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023010034) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036155012) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-10-27 |