| NPI | 1801389747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036156196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 75180-21) |
| 207R00000X Internal Medicine (Licence: IL 036156196) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-09-13 |