| NPI | 1184764706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036111882) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036111882) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036111882) | |
| 208000000X Pediatrics (Licence: IL 036111882) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-07-11 |