| NPI | 1134569395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 12506386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR0057617) |
| 207R00000X Internal Medicine (Licence: IN 02005206A) | |
| 208M00000X Hospitalist (Licence: IL 036138730) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-10-30 |