| NPI | 1063409795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.125239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079909A) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-01-28 |