| NPI | 1356759401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036151512) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD461236) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2020-07-09 |