| NPI | 1174582738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036096836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-096836) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036096836) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01050245) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-03-01 |