| NPI | 1912285081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036138839) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036138839) |
| 208M00000X Hospitalist (Licence: IL 036138839) | |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2023-01-24 |