| NPI | 1184774374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036105401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78865) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-12-31 |