| NPI | 1518308246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036144860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 66068) |
| 207Q00000X Family Medicine (Licence: IL 036144860) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-07-10 |