| NPI | 1023698644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-175004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.017147) |
| 207R00000X Internal Medicine (Licence: IL 036-175004) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-08-25 |