| NPI | 1982353397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036171662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.080607) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-03-14 |