| NPI | 1902333743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.150405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01086235A) |
| 207R00000X Internal Medicine (Licence: IL 036.150405) | |
| 208M00000X Hospitalist (Licence: IN 01086235A) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-02-14 |