| NPI | 1982799979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036101003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036101003) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-09-22 |