| NPI | 1851759922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076145A) |
| 207R00000X Internal Medicine (Licence: OH 35.131179) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2023-12-18 |