NPI | 1750322491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036110331) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036110331) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2023-06-21 |