| NPI | 1093010423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036128668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054777) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036128668) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036128668) | |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2025-06-05 |