| NPI | 1295049146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2019021487) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036141127) |
| 208M00000X Hospitalist (Licence: MO 2019021487) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2021-03-12 |