| NPI | 1093385627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 331935) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125079026) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2024-11-11 |