| NPI | 1134626393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-164131) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 75453) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-05-30 |