| NPI | 1558658849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036133605) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036133605) |
| 208M00000X Hospitalist (Licence: IL 036133605) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2019-01-15 |