| NPI | 1124135843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A66355) |
| 208M00000X Hospitalist (Licence: CA A66355) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-01-06 |