| NPI | 1053574897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036128475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036128475) |
| 208M00000X Hospitalist (Licence: IN 01092933A) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-02-26 |