| NPI | 1851719371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A148622) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125065876) |
| 208M00000X Hospitalist (Licence: CA A148622) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-09-26 |