| NPI | 1760645279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.127141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054166) |
| 207R00000X Internal Medicine (Licence: IL 036.127141) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-04-26 |