| NPI | 1962761809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036153119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261385) |
| 208M00000X Hospitalist (Licence: MA 261385) | |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2020-10-06 |