| NPI | 1750603270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036160955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14258) |
| 207R00000X Internal Medicine (Licence: IL 036160955) | |
| 207R00000X Internal Medicine (Licence: OK 38753) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2023-09-28 |