| NPI | 1043506355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036135560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060092) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2017-05-22 |