| NPI | 1164837829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-143565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065638) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2017018375) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2018-03-21 |