| NPI | 1932477536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI EMO0004721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059044) |
| 207R00000X Internal Medicine (Licence: MN 61887) | |
| 208M00000X Hospitalist (Licence: MN 61887) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2024-08-26 |