| NPI | 1831689702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.155845) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-155845) |
| 207R00000X Internal Medicine (Licence: IL 125071891) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-06-04 |