| NPI | 1053051938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-174523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079562) |
| 208M00000X Hospitalist (Licence: IL 125.079562) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-08-14 |