| NPI | 1225273915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036127685) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125055210) |
| 208M00000X Hospitalist (Licence: IL 036127685) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2022-12-12 |