| NPI | 1518345974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036156513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.132248) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-06-26 |