| NPI | 1720206394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036118037) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-118037) |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2021-04-30 |