| NPI | 1457774044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036140380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036140380) |
| 207R00000X Internal Medicine (Licence: IN 01093263A) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-06-25 |