| NPI | 1447631015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036174437) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 125084735) |
| 208M00000X Hospitalist (Licence: IL 125.084735) | |
| 208M00000X Hospitalist (Licence: SC MD85502) | |
| 207R00000X Internal Medicine (Licence: IL 125.084735) | |
| 207R00000X Internal Medicine (Licence: IL 036174437) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-09-30 |