| NPI | 1386264943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036163382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036163382) |
| 207R00000X Internal Medicine (Licence: IL 125075709) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-08-01 |