| NPI | 1841590908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 073016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.058930) |
| 208M00000X Hospitalist (Licence: GA 073016) | |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2021-10-19 |