| NPI | 1588826531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 54389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036121583) |
| 207R00000X Internal Medicine (Licence: IN 01075015A) | |
| 208M00000X Hospitalist (Licence: IL 036121583) | |
| 208M00000X Hospitalist (Licence: IN 01075015A) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-08-01 |