| NPI | 1508422213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: IL 036164742) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CA A180279) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IL 036164742) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2024-05-04 |