| NPI | 1386750008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036082869) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036-082869) |
| 207P00000X Emergency Medicine (Licence: IL 036-082869) | |
| 208M00000X Hospitalist (Licence: IL 036082869) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-03-10 |