| NPI | 1588919815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036150824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A137355) |
| 207R00000X Internal Medicine (Licence: NE 6791) | |
| 207R00000X Internal Medicine (Licence: IL 036150824) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-05-14 |