| NPI | 1356537179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.131216) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2010014085) |
| 208M00000X Hospitalist (Licence: IL 036131216) | |
| 207R00000X Internal Medicine (Licence: IL 036.131216) | |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2025-09-19 |