| NPI | 1538480603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 50850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058563) |
| 208M00000X Hospitalist (Licence: IL 036131046) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-02-11 |