| NPI | 1295027498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036137388) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 2747-321) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2024-06-04 |