| NPI | 1801162078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63957) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036138612) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2021-05-10 |