| NPI | 1851441349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036141515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239124) |
| 208M00000X Hospitalist (Licence: VA 0101239124) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-07-12 |