| NPI | 1396901062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036125589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072023A) |
| 207R00000X Internal Medicine (Licence: IL 036125589) | |
| 207R00000X Internal Medicine (Licence: MI 4301103855) | |
| 208M00000X Hospitalist (Licence: MI 4301103855) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2023-11-03 |