| NPI | 1629569587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0094016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072166) |
| 208M00000X Hospitalist (Licence: IL 036-156422) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-07-13 |