| NPI | 1023294642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-120029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049979) |
| 208M00000X Hospitalist (Licence: IL 036-120029) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-04-30 |