| NPI | 1770045627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036160291) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036157757) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-12-12 |