| NPI | 1265669436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036129008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056587) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2019-11-13 |