| NPI | 1750776209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165626) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10572500) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-11-22 |