| NPI | 1851885586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036157773) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036157773) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2026-10-14 |