| NPI | 1518212216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-141565) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: FL ME139944) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125.062320) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-07-08 |