| NPI | 1033373717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036127001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054828) |
| 208M00000X Hospitalist (Licence: IL 03612701) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-07-08 |