| NPI | 1720096753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036100089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 42042020) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-03-21 |