| NPI | 1952529919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-117509) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-117509) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-117509) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-04-26 |