| NPI | 1851774327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.159049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0093444) |
| 207R00000X Internal Medicine (Licence: VA 0101265331) | |
| 207R00000X Internal Medicine (Licence: IL 036.159049) | |
| 207R00000X Internal Medicine (Licence: MO 2015021201) | |
| 208M00000X Hospitalist (Licence: IL 036159049) | |
| 208M00000X Hospitalist (Licence: DC MD046778) | |
| 208M00000X Hospitalist (Licence: VA 0101265331) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-07-19 |