| NPI | 1932278587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036115796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046999) |
| 208M00000X Hospitalist (Licence: IA MD-47847) | |
| 207R00000X Internal Medicine (Licence: IA MD-47847) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-04-17 |