| NPI | 1164713269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036136526) |
| 207R00000X Internal Medicine (Licence: IN 01073305A) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2023-03-06 |