| NPI | 1174577340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036113804) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IL 036113804) |
| 207Q00000X Family Medicine (Licence: IL 036113804) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-03-29 |