| NPI | 1386063782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036150632) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 64513-20) |
| 208M00000X Hospitalist (Licence: CA A150247) | |
| 208M00000X Hospitalist (Licence: IL 036150632) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-01-29 |