| NPI | 1689819138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036134292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53410) |
| 208M00000X Hospitalist (Licence: IL 036128068) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2023-06-20 |