| NPI | 1114937562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036107020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036107020) |
| 208M00000X Hospitalist (Licence: FL OS17162) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2026-01-13 |