| NPI | 1205365749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036155188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155188) |
| 207R00000X Internal Medicine (Licence: FL 24892) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-03-15 |