| NPI | 1194287151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036174384) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 068209) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-09-24 |