| NPI | 1205156429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036131109) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036131109) |
| 208M00000X Hospitalist (Licence: IL 036131109) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-04-20 |