| NPI | 1710065206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036163713) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A94023) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-08-07 |