| NPI | 1386261295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-175344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.175344) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2025-08-05 |