| NPI | 1104868165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036098026) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 036-098026) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-03-06 |