| NPI | 1215687181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036170622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 85387-20) |
| 207R00000X Internal Medicine (Licence: IL 036170622) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-08-08 |