| NPI | 1760822365 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01076047A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036158194) |
| 208M00000X Hospitalist (Licence: IN 01076047A) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-11-22 |