| NPI | 1508093527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036128826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125056343) |
| 207Q00000X Family Medicine (Licence: WI 57764-20) | |
| 208M00000X Hospitalist (Licence: WI 57764-20) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-07-05 |