| NPI | 1669967683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036154823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072720) |
| 207R00000X Internal Medicine (Licence: IL 036.154823) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-05-20 |