| NPI | 1457881765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036142013) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125070017) |
| 208M00000X Hospitalist (Licence: IL 036142013) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-11-27 |