| NPI | 1013538248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0096778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075888) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2023-07-03 |