| NPI | 1174910707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A176673) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.146192) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-02-28 |