| NPI | 1174084909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 336695) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036161694) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-07-08 |