| NPI | 1033318555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036125318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052365) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-01-18 |