| NPI | 1164422515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036091950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036091950) |
| 208M00000X Hospitalist (Licence: IL 036091950) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-01-22 |