| NPI | 1619167483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036162165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-50501) |
| 207R00000X Internal Medicine (Licence: MO 2015001549) | |
| 208M00000X Hospitalist (Licence: LA MD.203869) | |
| 208M00000X Hospitalist (Licence: IA MD-50501) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2025-01-22 |