| NPI | 1942879309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036171898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100147) |
| 208M00000X Hospitalist (Licence: MD D0100147) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-01-07 |