| NPI | 1285029348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A155094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036153631) |
| 208M00000X Hospitalist (Licence: IL 036153631) | |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-07-07 |