| NPI | 1447360631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036112073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.112073) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.112073) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-04-22 |