| NPI | 1023472636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036147258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.147258) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2022-08-11 |