| NPI | 1740569367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-41876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41876) |
| 207R00000X Internal Medicine (Licence: IL 125059041) | |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2018-03-17 |