| NPI | 1669114773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036174915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01096528A) |
| 208M00000X Hospitalist (Licence: IN 01096528A) | |
| 207R00000X Internal Medicine (Licence: IL 036174915) | |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2025-09-23 |