| NPI | 1699121061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006078A) |
| 207R00000X Internal Medicine (Licence: IL 036.149714) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-02-01 |