| NPI | 1932251527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036124196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124196) |
| 207R00000X Internal Medicine (Licence: IL 036-124196.) | |
| 207R00000X Internal Medicine (Licence: MA 229791) | |
| 207R00000X Internal Medicine (Licence: IL 036.124196) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-12-22 |