| NPI | 1427032036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036090333) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036090333) |
| 207R00000X Internal Medicine (Licence: IL 036090333) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2023-10-13 |