| NPI | 1578028858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036160880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036160880) |
| 207R00000X Internal Medicine (Licence: CA A177827) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036160880) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-05-03 |