| NPI | 1831374594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036117597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50327) |
| 208M00000X Hospitalist (Licence: KY 50327) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2023-10-10 |