| NPI | 1194379867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036159278) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036159278) |
| 208M00000X Hospitalist (Licence: IL 036159278) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-01-06 |