| NPI | 1386221224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036182228) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A195294) |
| 208000000X Pediatrics (Licence: IL 036182228) | |
| 208000000X Pediatrics (Licence: CA A195294) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-09-15 |