| NPI | 1215185699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.132705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008025806) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2013-06-24 |