| NPI | 1386218378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036171543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036171543) |
| 207R00000X Internal Medicine (Licence: IL 036171543) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-03-07 |