| NPI | 1124446315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 13111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141317) |
| 208M00000X Hospitalist (Licence: IL 036141317) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-07-10 |