| NPI | 1134878986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036180590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036180590) |
| 208000000X Pediatrics (Licence: IL 036180590) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-09-24 |