| NPI | 1063862985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036152033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125068509) |
| 207R00000X Internal Medicine (Licence: IL 125068509) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-08-06 |