| NPI | 1861417016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036070477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036070477) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-070477) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-06-07 |