| NPI | 1982684197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036108965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108965) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-05-13 |