| NPI | 1003072547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036126916) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125055499) |
| 207Q00000X Family Medicine (Licence: MI 4301099529) | |
| 207Q00000X Family Medicine (Licence: IL 036126916) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-05-07 |