| NPI | 1972729986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-136620) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IL 036-136620) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-12-06 |