| NPI | 1619255148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H79631) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD H79631) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 077372) | |
| 208M00000X Hospitalist (Licence: IL 036163417) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036163417) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2025-01-02 |