| NPI | 1528703147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036170958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079512) |
| 207R00000X Internal Medicine (Licence: IL 036170958) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2025-05-05 |