| NPI | 1336181395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036102478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036102478) |
| 207R00000X Internal Medicine (Licence: IL 036102478) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-03-06 |