| NPI | 1396024972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 03613072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 03613072) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036133072) | |
| 208000000X Pediatrics (Licence: IL 036-133072) | |
| 208000000X Pediatrics (Licence: MI 4301095991) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2024-02-28 |