| NPI | 1922093707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.149413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 49653-20) |
| 208M00000X Hospitalist (Licence: WI 49653) | |
| 208M00000X Hospitalist (Licence: IL 036144909) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036144909) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME133180) | |
| 207R00000X Internal Medicine (Licence: FL ME13380) | |
| 207R00000X Internal Medicine (Licence: IL 036144909) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-11-27 |