| NPI | 1669582698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-089709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01060690A) |
| 207R00000X Internal Medicine (Licence: IA MD-43233) | |
| 208M00000X Hospitalist (Licence: IN 01060690A) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-02 |