| NPI | 1972542488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36065210) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036065210) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-11-06 |