| NPI | 1366002362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036161301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022034435) |
| 208M00000X Hospitalist (Licence: MO 2022034435) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-05-31 |