| NPI | 1467728709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.138375) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036138375) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2025-02-18 |