| NPI | 1174185987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-15671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074006) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-08-11 |