| NPI | 1114489192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.160195) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036160195) |
| 207R00000X Internal Medicine (Licence: IL 125.074592) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-06-20 |