| NPI | 1831297761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 41240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-116009) |
| 207Q00000X Family Medicine (Licence: IL 036116009) | |
| 208M00000X Hospitalist (Licence: IL 036116009) | |
| 207P00000X Emergency Medicine (Licence: IN 01057262) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-04-10 |