| NPI | 1780116038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY C2359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.155439) |
| 208M00000X Hospitalist (Licence: IN 1083550A) | |
| 208M00000X Hospitalist (Licence: IL 036.155439) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-01-30 |