| NPI | 1417243296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011014208) |
| 207R00000X Internal Medicine (Licence: IL 036136141) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2016-11-03 |