| NPI | 1417901760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036109299) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036109299) |
| 174400000X Specialist (Licence: IL 036109299) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-04-05 |