| NPI | 1952751877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.069094) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036148340) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-02-10 |