| NPI | 1780017749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 65768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65768) |
| 208M00000X Hospitalist (Licence: IL 036-155344) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-09-27 |