| NPI | 1801410022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036166143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036166143) |
| 207R00000X Internal Medicine (Licence: IL 125076755) | |
| 207R00000X Internal Medicine (Licence: IL 125.076755) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2026-01-26 |