| NPI | 1154482131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036117455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240940-1) |
| 207R00000X Internal Medicine (Licence: IL 036117455) | |
| 208M00000X Hospitalist (Licence: MO 2020013605) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-03-01 |