| NPI | 1245636844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149131) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036149131) |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2023-03-07 |