| NPI | 1497749931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036096759) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 036069759) |
| 208000000X Pediatrics (Licence: IL 036-096759) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-07-19 |