| NPI | 1952807513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A197402) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036157087) |
| 208M00000X Hospitalist (Licence: CA A197402) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-12-20 |