| NPI | 1538181375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036159154) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 36781) |
| 207Q00000X Family Medicine (Licence: IA 36781) | |
| 207Q00000X Family Medicine (Licence: IL 036159154) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2026-04-06 |