| NPI | 1609289040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036143935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.143935) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-10-22 |