| NPI | 1538354295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-118945) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036118945) |
| 207P00000X Emergency Medicine (Licence: IL 36118945) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2026-01-15 |