| NPI | 1871941385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036149145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS19876) |
| 208M00000X Hospitalist (Licence: IL 036149145) | |
| 208M00000X Hospitalist (Licence: FL OS19876) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-08-13 |