NPI | 1013954999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 202K00000X (Licence: IL 036103665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036103665) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2021-02-18 |