| NPI | 1750898367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036167294) |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036167294) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 125079225) | |
| 251E00000X Home Health | |
| 207R00000X Internal Medicine (Licence: IL 036167294) | |
| 251S00000X | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-08-06 |