| NPI | 1992060230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036138520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301100975) |
| 207Q00000X Family Medicine (Licence: MO 2016039968) | |
| 208M00000X Hospitalist (Licence: MO 2016039968) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-05-03 |