| NPI | 1083137897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036152068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D97656) |
| 208M00000X Hospitalist (Licence: IL 036152068) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-07-28 |