| NPI | 1003007824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D66464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117582) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-07-15 |