| NPI | 1598050494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036132965) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01084440A) |
| 207R00000X Internal Medicine (Licence: IL 036132965) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-11-01 |