| NPI | 1083241293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036162380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036162380) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-10-03 |