| NPI | 1922070333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-100857) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-100857) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-12-30 |