| NPI | 1164582532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036126816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48895) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036126816) | |
| 208000000X Pediatrics (Licence: WI 48895) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-07-21 |