| NPI | 1225527138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312615) |
| 208000000X Pediatrics (Licence: LA 312615) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-08-01 |