| NPI | 1528322674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-135979) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 64424) |
| 207R00000X Internal Medicine (Licence: IL 125061903) | |
| 207R00000X Internal Medicine (Licence: WI 64424) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-07-23 |