| NPI | 1811272438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 313113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036135704) |
| 207R00000X Internal Medicine (Licence: IN 01075556A) | |
| 208M00000X Hospitalist (Licence: IL 036135704) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2024-04-15 |