| NPI | 1528422631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 72532-20) |
| 207R00000X Internal Medicine (Licence: IL 036.149561) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-03-21 |