| NPI | 1447415468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 70714) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036127941) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-09-23 |