| NPI | 1760622740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-128267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-054147) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2017-03-06 |