| NPI | 1497106983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.068402) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036169509) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2024-09-25 |