| NPI | 1053619676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 261QU0200X) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073147-A) |
| 207P00000X Emergency Medicine (Licence: IL 036136623) | |
| 208M00000X Hospitalist (Licence: IL 036136623) | |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2025-01-17 |