| NPI | 1649685306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036145131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064898) |
| 208M00000X Hospitalist (Licence: IN 01078747A) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2023-09-28 |