| NPI | 1194388710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 69010) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 69010) |
| 208M00000X Hospitalist (Licence: IL 036159558) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-01-11 |