| NPI | 1487282547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101280229) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101280229) |
| 208M00000X Hospitalist (Licence: IL 036168096) | |
| 208M00000X Hospitalist (Licence: IN 01089858A) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-10-25 |