| NPI | 1992117634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036145010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03039) |
| 207R00000X Internal Medicine (Licence: MA 269390) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-07-21 |