| NPI | 1114378882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036150636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016020051) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-06-04 |