| NPI | 1700048022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036127472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054250) |
| 208000000X Pediatrics (Licence: IL 125054250) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-02-03 |