| NPI | 1982137485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036151605) |
| 208M00000X Hospitalist (Licence: IL 036151605) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-07-27 |