| NPI | 1013950476 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036114596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-114596) |
| 208M00000X Hospitalist (Licence: IL 036114596) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-01-24 |