| NPI | 1134504129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 34500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036158652) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2025-02-11 |