| NPI | 1487768032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-36760) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036116000) |
| 208000000X Pediatrics (Licence: IL 036116000) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-04-18 |