| NPI | 1275655292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036084164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-084164) |
| 207R00000X Internal Medicine (Licence: IL 036084164) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-10-25 |