| NPI | 1376549394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036072156) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036072156) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-07-25 |