| NPI | 1265844187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 75585) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036142447) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-01-17 |