| NPI | 1467946335 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036160838) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074563) | 
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: IL 036.160838) | |
| Enumeration Date | 2018-06-14 | 
| Last Update Date | 2024-02-09 |