| NPI | 1649529306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036145172) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-42687) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2020-06-23 |