| NPI | 1073017638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036163509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036163509) |
| 208M00000X Hospitalist (Licence: MO 2021031408) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-05-23 |