| NPI | 1386048502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036140095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036140095) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2020-05-21 |