| NPI | 1366937864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036169165) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311200) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-07-15 |