| NPI | 1063690469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036103995) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01028954) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2013-07-30 |