| NPI | 1386941508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036131209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036131209) |
| 208M00000X Hospitalist (Licence: IL 036131209) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2024-10-17 |