| NPI | 1235233792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 51938) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35120053) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036110025) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 51938-20) | |
| 208M00000X Hospitalist (Licence: IL 036110025) | |
| 208M00000X Hospitalist (Licence: IN 01058364A) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2026-01-14 |