| NPI | 1992029987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 90333) |
| 207R00000X Internal Medicine (Licence: IL 036164945) | |
| 208M00000X Hospitalist (Licence: GA 90333) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2023-09-01 |