| NPI | 1396029013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036133810) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.133810) | 
| 208M00000X Hospitalist (Licence: IL 036133810) | |
| Enumeration Date | 2011-09-29 | 
| Last Update Date | 2025-03-21 |