| NPI | 1194055863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036153573) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 75081-20) |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2025-10-13 |