| NPI | 1821589821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156907) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S4978) |
| 208M00000X Hospitalist (Licence: IL 036.156907) | |
| 207Q00000X Family Medicine (Licence: TX S4978) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2026-07-21 |