| NPI | 1437105145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036115780) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA C168518) |
| 207P00000X Emergency Medicine (Licence: TN 38155) | |
| 207R00000X Internal Medicine (Licence: CA C168518) | |
| 208M00000X Hospitalist (Licence: TN 38155) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-02-15 |