| NPI | 1033419429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133872) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2023-01-26 |