| NPI | 1821225533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 335329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036130889) |
| 208M00000X Hospitalist (Licence: IL 036130889) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2025-03-13 |