| NPI | 1578712238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-136090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053954) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2025-03-17 |