| NPI | 1538587340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036151570) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A143256) |
| 207R00000X Internal Medicine (Licence: CA A143256) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-03-05 |