NPI | 1194989491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036124360) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053595) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2022-05-16 |