| NPI | 1295229573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 75647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036156871) |
| 208M00000X Hospitalist (Licence: IL 036156871) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-08-27 |