| NPI | 1508215708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149107) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036149107) |
| 207R00000X Internal Medicine (Licence: IL 036.149107) | |
| 208M00000X Hospitalist (Licence: IN 02007193A) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-07-26 |