| NPI | 1740667310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 69513) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036144722) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-09-14 |