| NPI | 1205578481 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-176344) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-176344) | 
| Enumeration Date | 2022-04-08 | 
| Last Update Date | 2025-09-02 |