| NPI | 1255673935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036142855) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036142855) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-10-25 |