| NPI | 1619998119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036105041) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-105041) |
| 207R00000X Internal Medicine (Licence: IL 036105041) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-04-17 |