| NPI | 1871889063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036147155) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125066222) |
| 208M00000X Hospitalist (Licence: IL 036147155) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2023-11-27 |