| NPI | 1639439177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-132735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132735) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2021-01-29 |