| NPI | 1477038495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.178650) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.178650) |
| 207R00000X Internal Medicine (Licence: IL 036.178650) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2026-06-19 |