| NPI | 1639580368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036163181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101262372) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-05-02 |