| NPI | 1184298523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036043258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL83595) |
| 208M00000X Hospitalist (Licence: IL 036176163) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-10-13 |