| NPI | 1134474471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036141729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252423) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2021-06-04 |