| NPI | 1366937211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036180418) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311202) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2026-06-05 |