| NPI | 1497304299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.2696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036164221) |
| 208M00000X Hospitalist (Licence: IL 036164221) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2026-03-17 |