| NPI | 1669784872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125058873) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01073189B) |
| 208M00000X Hospitalist (Licence: IL 036131145) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2023-02-08 |