| NPI | 1609211481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141501) |
| 207R00000X Internal Medicine (Licence: GA 86699) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-03-05 |