| NPI | 1205934395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.113595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-113595) |
| 207R00000X Internal Medicine (Licence: IL 036.113595) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-07-30 |