| NPI | 1750547683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD154265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055236) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-11-23 |