| NPI | 1033554142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101274769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL R55000088140) |
| 207R00000X Internal Medicine (Licence: VA 0101274769) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-12-27 |