| NPI | 1326434994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.147490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-147490) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-06-07 |