| NPI | 1467192344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125079460) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036171757) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-08-05 |