| NPI | 1225081110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-124376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 113259) |
| 208M00000X Hospitalist (Licence: MO 113259) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-04-24 |