| NPI | 1689297996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509670) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036176782) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-08-28 |