| NPI | 1215547567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036171223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11936800) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2024-07-23 |