| NPI | 1639335235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-120385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120385) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2022-11-29 |