| NPI | 1952351470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036082168) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036082168) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036082168) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-03-07 |