| NPI | 1407530033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125082631) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A208470) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-07-21 |