| NPI | 1912384306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036155248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155248) |
| 208M00000X Hospitalist (Licence: IN 02005686A) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-10-11 |