| NPI | 1134362833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.070551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036070551) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036.070551) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2023-12-04 |