| NPI | 1508037201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-088674) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-088674) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2026-07-13 |