| NPI | 1255773396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT204675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036163787) |
| 207R00000X Internal Medicine (Licence: IN 01079584A) | |
| 208M00000X Hospitalist (Licence: IL 036163787) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-04-10 |