| NPI | 1639284862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 036091243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036091243) |
| 208M00000X Hospitalist (Licence: IL 036091243) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-02-04 |