| NPI | 1992250419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036167288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71008) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2024-03-27 |