| NPI | 1982836730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128574) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036128574) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-09-18 |