| NPI | 1942466545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036131137) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036131137) |
| 208M00000X Hospitalist (Licence: IL 125053900) | |
| 207R00000X Internal Medicine (Licence: IL 125053900) | |
| 207R00000X Internal Medicine (Licence: IL 036131137) | |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2023-06-21 |