| NPI | 1831417070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2016010622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036125603) |
| 208M00000X Hospitalist (Licence: IL 036125603) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-03-01 |