| NPI | 1841813342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.163333) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.076366) |
| 208M00000X Hospitalist (Licence: WI 82610-20) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-03-14 |