| NPI | 1770731002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036126242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01073249A) |
| 207R00000X Internal Medicine (Licence: IL 036126242) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2021-05-11 |