| NPI | 1932661873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-157996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61354041) |
| 208M00000X Hospitalist (Licence: MI 4301508122) | |
| 208M00000X Hospitalist (Licence: IL 036-157996) | |
| 208M00000X Hospitalist (Licence: WA MD61354041) | |
| 207R00000X Internal Medicine (Licence: MI 4301508122) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-12-14 |