| NPI | 1235148982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036110255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110255) |
| 207R00000X Internal Medicine (Licence: UT 5761662-1205) | |
| 208M00000X Hospitalist (Licence: UT 5761662-1205) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-06-21 |