| NPI | 1598926198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036168095) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME112067) |
| 207R00000X Internal Medicine (Licence: FL me112067) | |
| 207R00000X Internal Medicine (Licence: TX P0397) | |
| 207R00000X Internal Medicine (Licence: VA 0101261418) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-02-07 |