| NPI | 1699184499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036143250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065215) |
| 207R00000X Internal Medicine (Licence: IL 036143250) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2020-11-18 |