| NPI | 1477947745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036144543) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036144543) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2018-04-23 |