| NPI | 1346506839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036139279)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139279)  | 
| 208M00000X Hospitalist (Licence: IL 036139279)  | |
| Enumeration Date | 2012-04-09 | 
| Last Update Date | 2020-10-25 |