| NPI | 1154658292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036131832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28019) |
| 207R00000X Internal Medicine (Licence: IL 036.131832) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.131832) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 28019) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2020-05-27 |