| NPI | 1215222922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036134685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036134685) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2025-05-22 |