| NPI | 1851550966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036134984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ none) |
| 207R00000X Internal Medicine (Licence: OH 35-097198) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-06-27 |