| NPI | 1679590269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-074571) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-074571) |
| 207P00000X Emergency Medicine (Licence: NY 183698-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-22 |