| NPI | 1114382355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IL 036173286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036173286) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2025-12-05 |