| NPI | 1649591371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.131483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036131483) |
| 207R00000X Internal Medicine (Licence: IL 125058545) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-03-17 |