| NPI | 1619932993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01051932A) |
| 207R00000X Internal Medicine (Licence: IL 036-082153) | |
| 208M00000X Hospitalist (Licence: KY 39134) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-03-14 |