| NPI | 1588984454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036134956) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A125681) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2018-03-17 |