| NPI | 1841605425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.144028) |
| 208M00000X Hospitalist (Licence: IL 036.144028) | |
| 208M00000X Hospitalist (Licence: WI 67618) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-06-25 |