| NPI | 1487742409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-09648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-096048) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-05-25 |