| NPI | 1942655667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81737-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074761) |
| 207R00000X Internal Medicine (Licence: IL 036158446) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81737-20) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036158446) | |
| 208M00000X Hospitalist (Licence: IL 036158446) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-11-25 |