| NPI | 1891900932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036125218) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 59854-20) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-08-21 |