| NPI | 1922410927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 84906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 84906) |
| 208M00000X Hospitalist (Licence: IL 036143743) | |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2020-07-31 |