| NPI | 1306341995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.154386) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 72884-20) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-09-29 |