| NPI | 1760776538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036148222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036148222) |
| 208M00000X Hospitalist (Licence: IN 02005678B) | |
| 208M00000X Hospitalist (Licence: IN 02005678A) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-11-20 |