| NPI | 1982015079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.143444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064359) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2018-05-31 |