| NPI | 1174145361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.075451) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036164163) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-01-15 |