| NPI | 1619198439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 73088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-124189) |
| 208M00000X Hospitalist (Licence: IL 036-124189) | |
| 208M00000X Hospitalist (Licence: GA 059829) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-04-13 |