| NPI | 1487215638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036162089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351044756) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-09-19 |