| NPI | 1861768590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036135978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.135978) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-03-17 |