| NPI | 1871767251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D79618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036126647) |
| 208M00000X Hospitalist (Licence: IL 036126647) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2017-09-18 |