| NPI | 1104389147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075930) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-08-22 |