| NPI | 1053840199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036155348) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.070481) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036155348) | |
| 208M00000X Hospitalist (Licence: IL 036155348) | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2024-04-29 |