| NPI | 1962679852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036134415) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.134415) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2025-07-24 |