| NPI | 1295142180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036142183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065829) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145993) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125065829) | |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2022-02-01 |