| NPI | 1851811434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020019618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125070622) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-11-29 |