| NPI | 1124292727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036126389) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036126389) |
| 208000000X Pediatrics (Licence: IL 036126389) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-08-04 |