| NPI | 1891457222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.082339) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036177213) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2026-05-28 |