| NPI | 1811143290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036141715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102366) |
| 208000000X Pediatrics (Licence: IL 141715) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 03614171) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036141715) | |
| 208M00000X Hospitalist (Licence: MI 4301102366) | |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2021-08-13 |