| NPI | 1649853235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036168627) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351047542) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-02-21 |