| NPI | 1437384047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.136818) |
| 207Q00000X Family Medicine (Licence: OH 35099388) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-07-27 |