| NPI | 1275562951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036144816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036144816) |
| 207R00000X Internal Medicine (Licence: MO R6J78) | |
| 208M00000X Hospitalist (Licence: MO R6J78) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-11-27 |