| NPI | 1851912026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036165355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351046056) |
| 207Q00000X Family Medicine (Licence: IL 036165355) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-01-27 |