| NPI | 1396029013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125060167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133810) |
| 208M00000X Hospitalist (Licence: IL 036133810) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2021-01-02 |