NPI | 1255918793 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036166238) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036166238) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-08-30 |