| NPI | 1932512704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A168591) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036144040) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-11-03 |