| NPI | 1598894891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036114337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114337) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036114337) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2019-10-08 |