| NPI | 1629092028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-116132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116132) |
| 207R00000X Internal Medicine (Licence: HI MD-13874) | |
| 208M00000X Hospitalist (Licence: HI MD-13874) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-03-31 |