| NPI | 1265816516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036145066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036145066) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.145066) | |
| 208M00000X Hospitalist (Licence: IL 036-145066) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-10-23 |