| NPI | 1598185811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036143587) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 76901) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-03-17 |