| NPI | 1407199003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036139337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01077213A) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-03-30 |