| NPI | 1639103302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036156297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0091694) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-07-30 |