| NPI | 1326593021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036164818)  | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.164818)  | 
| 208M00000X Hospitalist (Licence: IA MD47442)  | |
| 208M00000X Hospitalist (Licence: NE 31916)  | |
| Enumeration Date | 2016-08-23 | 
| Last Update Date | 2023-09-20 |