| NPI | 1255993291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036175589) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 108698) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2025-12-03 |