| NPI | 1699202408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 72790) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036151737) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-22 |