| NPI | 1528375078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036144815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078840A) |
| 207R00000X Internal Medicine (Licence: CA C178551) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2025-01-21 |