| NPI | 1013543131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036164377) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.164377) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2025-07-01 |