| NPI | 1376063123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036158608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023200) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-04-01 |