| NPI | 1861836033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036140691) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036140691) |
| 207R00000X Internal Medicine (Licence: IL 036-140691) | |
| 208M00000X Hospitalist (Licence: IL 036140691) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2024-12-13 |