| NPI | 1841796745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036172723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 95674) |
| 207R00000X Internal Medicine (Licence: AL 42962) | |
| 207R00000X Internal Medicine (Licence: MD D95007) | |
| 208M00000X Hospitalist (Licence: GA 95674) | |
| 208M00000X Hospitalist (Licence: MS 33066) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2025-01-08 |