| NPI | 1538540240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MO 2024023409) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036.144930) |
| 208M00000X Hospitalist (Licence: IL 036144930) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-01-21 |