| NPI | 1982857926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036127478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-054-809) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2018-01-19 |