| NPI | 1902216492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036152011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 67691-20) |
| 207R00000X Internal Medicine (Licence: IL 036152011) | |
| 208M00000X Hospitalist (Licence: WI 67691) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-07-21 |