| NPI | 1720098049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036099552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036099552) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-02-07 |