| NPI | 1033422811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 64226) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.133954) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2024-01-04 |