| NPI | 1649582503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036130726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125055748) |
| 208M00000X Hospitalist (Licence: IL 036130726) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2024-01-22 |