| NPI | 1093291502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036167023) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311397) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-04-29 |