NPI | 1174582811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036093254) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036093254) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2022-03-18 |