| NPI | 1689102543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036168212) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01083700A) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-08-30 |